Dr. Human Fatemi
Dr. Barbara Lawrenz
Women with regular menstrual cycles have almost certainly ovulations, regardless of their length. 14 days have to be subtracted from the average cycle length, to estimate the day of ovulation. If the cyclelength is 28 days, ovulation will take place on day 14, but if the cycle is 25 days, ovulation will be on day 11. But not all women experience regular ovulation.
In women, ovulation problems are a common cause of infertility. It has been estimated that approximately 25% of infertile women have problems with ovulation. A condition where the follicle is not growing correctly or does not release a mature egg during the monthly cycle.
The inability to produce and/or release eggs are called anovulation. In some women, this is a permanent problem and in others it only appears from time to time: some month’s ovulation occurs, and some months it doesn’t.
There is a variety of factors that can prevent a woman of ovulating.
The most common cause of ovulation problem is hormonal imbalance regarding the hormones that interact together to induce follicle growth and ovulation. The hormones, which are important and may influence the follicle growth, ovulation and the support of the lining after ovulation, are produced in the hypothalamus (an area of the brain), pituitary gland, ovaries or other glands such as the adrenal glands and thyroid gland.
Ovulation problems may be due to many disorders. One of the most common causes is the polycystic ovary syndrome (PCOS) (refer to PCOS). Lack of ovulation may also result from excessive exercise, weight loss/gain or psychological stress. Moreover, certain drugs, like estrogen, progestin, and antidepressants may interfere with ovulation. Also physical damage to the ovaries may result in failed ovulation.
As a couple, you’ll need to have a full assessment, a discussion on detailed previous menstrual cycles including a series of blood tests and ultrasound studies of the ovaries. In case of anydoubts, and to confirm ovulation, an ultrasound and blood test doneat various times of the menstrual cycle can clarify whether ovulation is occurring.
The type of treatment may vary depending on the cause of the ovulation problem. Medications may be prescribed if the source of the problem involves balancing out of hormones, thyroid or insulin levels.
Fertility medications that promote ovulation are usually prescribed, for women who have unexplained ovulatory disorders.
Possible treatment options can be further discussed in our Out Patient Clinic during your consultation visit. Please book an appointment with us.
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